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Samenvatting Leerjaar 1 Blok 6
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Samenvatting literatuur en hoorcolleges blok 6
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THEORIE BLOK 6INHOUD
Hoorcolleges ........................................................................................................................................................... 2
College 1: Een functioneel-anatomische beschouwing van de lendenwervelkolom .......................................... 2
College 2: Fysiotherapeutische diagnose ............................................................................................................ 6
College 3: Pijndiagnostiek en therapeutische uitgangspunten (LBP) .................................................................. 7
College 4: Therapeutische uitgangspunten ......................................................................................................... 8
Artikelen ................................................................................................................................................................ 10
Everything you know about back pain is wrong (O’Sullivan) ............................................................................ 10
Words and perceptions: therapy of threat? (Johnston) ................................................................................... 10
Words that harm, words that heal (Bardell) ..................................................................................................... 10
Diagnostic triage for low back pain (Bardin) ..................................................................................................... 11
The significance and meaning of touch in de practice of physiotherapy (Bjorbaekmo) ................................... 14
The physical examination as ritual .................................................................................................................... 14
LBP: A call for action .......................................................................................................................................... 15
What low back pain is and why we need to pay attention ............................................................................... 15
Prevention and treatment of low back pain: evidence, challenges and promising direction ........................... 16
Expectations of physiotherapy treatment of persons with persistent pain (Calner) ........................................ 16
The fascinatin Mechanism and Implications of the Placebo effect (Colloca).................................................... 16
Enhance placebo, avoid nocebo: how contextual factors affect physiotherapy outcomes (Testa) ................. 17
KNGF Richtlijn Lage rugpijn ................................................................................................................................... 18
Diagnose ............................................................................................................................................................ 19
Therapie ............................................................................................................................................................ 20
Evidence-based diagnostiek van het bewegingsapparaat (Verhagen) ................................................................. 22
H4: Lage rug ...................................................................................................................................................... 22
Preventie en gezondheidsbevordering door paramedici (Van der Burgt) ............................................................ 25
Gezondheid en gedrag ...................................................................................................................................... 25
,HOORCOLLEGES
COLLEGE 1: EEN FUNCTIONEEL-ANATOMISCHE BESCHOUWING VAN DE
LENDENWERVELKOLOM
• Lendenwervels = lumbale wervels
• Tussenwervelschijven = disci intervertebrales
• Intervertebrale gewrichten = art. intervertebrales
• Rugspieren en buikspieren = m. erector spinae, m. transversus
abdominus, mm. obliques internus/externus, m. rectus
abdominus
Lordotische kromming: invariabel door inplantingshoek os sacrum,
variabel door bewegen, variabel door spierkracht/zwaartekracht
Inplantingshoek os sacrum – lordotische kromming
De anatomische configuratie van de lendenwervelkolom, de verhouding tussen mobiliteit en stabiliteit en de
verhouding tussen aspecten van vorm- en krachtsluiting in het kader van stabiliteit is een afspiegeling van de
inplantingshoek van het os sacrum.
, Articulatio intervertebralis (gewricht tussen de tussenwervelschijven)
Zygapophyseale gewrichten = facetgewrichten
Vorm facetten: J of C
Bewegingsmogelijkheden
• Indrukbaar als (gekromde)hydraulische veer
• Disci intervertebrales: vervormbaar, hydratie en dehydratie
• Intervertebrale gewrichten: processi articulares superiores glijden langs processi articulares inferiores
• Relatie met sacrumbewegingen in het bekken
Discus intervertebralis (tussenwervelschijf)
• Vezelig kraakbeen
• Dek- en sluitplaat (dek aan bovenkant, sluit aan onderkant)
• Vezels van sharpey (verbinden de tussenwervelschijven met de aangrenzende wervels)
• Anulus fibrosus (de ring van vezelig kraakbeen, dat om het gelei achtige kern zit)
• Nucleus pulposus (geleiachtige kern in de tussenwervelschijf)
• Ordening en dichtheid collagene vezels en verhouding tot grondsubstantie
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